Publications


Wenn Leitlinienempfehlungen zur Rehabilitation der Mobilität nach Schlaganfall smart werden.

Mar 2019 - EbM Kongress, Berlin

 

Im Jahr 2015 erschien die erste Fassung der S2e Leitlinie zur Rehabilitation der Mobilität nach Schlaganfall (ReMoS). Heute, fast vier Jahre später gelingt die Implementierung in die klinische Praxis weiterhin nur schleppend. Für Praktiker scheint es schwierig zu sein, aus rund 150 Seiten Fließtext mit über 250 Empfehlungen relevante Kernaussagen für die tägliche Praxis zu entnehmen. Somit stellt sich die Frage, wie derartig schwachstrukturierte Daten aufbereitet werden können und müssen, um Einzug in die klinische Praxis zu halten.

 

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Damit Leitlinien keine Leidlinien werden – Leitlinie Rehabilitation der Mobilität nach Schlaganfall (ReMoS)

Feb 2019 - physiopraxis

 

Seit 2015 gibt es die S2e-Leitlinie ReMoS zur Rehabilitation der Mobilität nach Schlaganfall. Bis heute gelingt die Implementierung in die klinische Praxis nur schleppend. Für Praktiker scheint es schwierig, den über 250 Empfehlungen die für sie relevanten Infos zu entnehmen. Jakob Tiebel und Claudia Pott zeigen die für Therapeuten wichtigen Aspekte in übersichtlichen Tabellen.

 

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Präventive Strategien in der Gesundheitsversorgung einer alternden Gesellschaft am Beispiel der Sturzproblematik

Feb 2019 - AAL Congress Hochschule Kempten

 

Steigt die Zahl hochaltriger Menschen in Deutschland in den kommenden Jahren tatsächlich so deutlich wie von Fachleuten prognostiziert? Welche Auswirkungen werden die Veränderungen in der Bevölkerungsstruktur auf das Morbiditätsspektrum haben? Wie muss die Gesundheitsversorgung von morgen aussehen, um einer älter werdenden Gesellschaft Rechnung zu tragen? Im folgenden Beitrag soll ausgehend von gesellschaftlichen und ökonomischen Gesichtspunkten am Beispiel der Sturzproblematik aufgezeigt werden, dass der Stellenwert von Prävention noch immer stark unterbewertet ist und wie technische Hilfsmittel bereits jetzt gewinnbringend für eine nachhaltige Prophylaxe und Rehabilitation eingesetzt werden können.

 

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Effects of a device based overground gait training

Jan 2019 - THERAPY Magazine

 

Regaining ability to walk again is one of the most important goals in the field of neurological rehabilitation. In this paper, we describe the use of the motorized assistive gait trainer device THERA-Trainer ego and the corresponding effects of an over-ground gait training in neurological patients. Results suggest that the proposed training paradigm may successfully ascertain training conditions that correspond well to patient capabilities and therefore may potentially be useful in improving over-ground walking during gait rehabilitation of neurological individuals.

 

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Less fear of falling

Jan 2019 - THERAPY Magazine

 

Influence of robot-assisted gait training with the THERA‑Trainer e-go on self-experienced gait stability of patients with acquired brain damage.

 

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Need assistance! Can assistants relieve the burden on therapy professions?

Jan 2019 - THERAPY Magazine

 

As our society ages, hospitals today are not usually lacking in patients, but in skilled professionals. Without exception, healthcare facilities face the challenge of having to do more with ever scarcer resources. A contradiction in itself? Not necessarily. But the changes require innovative care concepts and new structures in hospitals.

 

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ReMoS-Mining! When guidelines for mobility after stroke get smart

Jan 2019 - THERAPY Magazine

 

The first version of the S2e guideline on rehabilitation of mobility following stroke (ReMoS) was published in 2015. Today, almost four years later, implementation in clinical practice continues to be sluggish. For practitioners, it appears to be difficult to extract relevant core statements for daily practice from around 150 pages of continuous text with more than 250 abstractly-formulated recommendations. Thus the question arises as to how such weakly-structured data can and must be processed in order to enterclinical practice. The aim of the "ReMoS-Mining" project, which began in the middle of last year, was to process the existing ReMoS guideline as a text, in order to make the knowledge contained in it accessible to a wider public in condensed form.

 

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Rethinking rehabilitation - Summer School Neurorehabilitation Symposium

Jan 2019 - THERAPY Magazine

 

The 7th THERA-Trainer Symposium in September 2018 offered visitors an attractive programme, inviting them to reflect and rethink. Through its high-profile lectures, workshops and discussions, participants were updated on neurorehabilitation.

 

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The gait trainer customer survey

Jan 2019 - THERAPY Magazine

 

How satisfied are customers with a electromechanical gait trainer (THERA-Trainer lyra)? An evaluation as part of post market surveillance.

 

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Circuit class therapy improves mobility after stroke

June 2018 - THERAPY Magazine

 

Circuit class therapy improves mobility after stroke: Summary of a new cochrane systematic review and meta-analysis.

 

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Cycling for walking after stroke

Jun 2018 - THERAPY Magazine

 

Regaining the ability to walk is a very important goal for people with mobility impairments. For this reason, recovery of walking capacity is a major objective in the rehabilitation of patients with motor impairments of the lower extremities. Because of similarities with walking, cycling leg exercise might be a beneficial motor function rehabilitation method in sense of an add-on therapy intervention next to intensive task oriented walking practice.The objective was to examine potential benefits of a lower limb cyclic movement therapy on walking capacity in patients with mobility impairments.

 

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Down with setup times!

Jun 2018 - THERAPY Magazine

 

The THERA-Trainer lyra comes with a very simple operating concept and short setup times, in line with its basic principle of being simple, effective and affordable. The aim of this task was to quantify this product promise as part of post-market clinical follow-up surveillance.

 

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Haemorrhagic vs ischemic strokes

Jun 2018 - THERAPY Magazine

 

The type of stroke does not influence the outcome of robotic-assisted gait therapy!

 

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Integrated Solutions 

Jun 2018 - THERAPY Magazine

 

“The results from science, research and development must be consistently integrated into the therapeutic decision-making processes and be taught with a practical application. But who is available for these services?” Services that go above and beyond the portfolio of machines are where the future lies, whatever the business idea: a new construction on a greenfield site, the expansion of existing production or of a building. And what about reshaping clinical treatment pathways? Why not! The trend today is heading towards complete construction solutions, including sound advice on all topics relating to the service environment.

In this issue we’ve focused on this forward-looking topic – with an emphasis on therapy, of course. I’m particularly pleased that many young, scientifically committed therapists are already tackling this issue. 

At first glance, this issue may seem a bit heavy on the theory – which is true, but it’s certainly worth taking a closer look, as all the topics have a high degree of practical relevance. So, with this in mind, have fun reading this edition of THERAPY Magazine!

 

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Redesigning clinical treatment pathways for a best practice model for modern gait training

Jun 2018 - THERAPY Magazine

 

What is important for a successful rehabilitation of post-stroke mobility? Which rehabilitation measures demonstrably lead to an improvement of balance, standing and walking ability? What are successfull strengths and what opportunities do rehabilitation facilities have by being more open to change? What are the current weaknesses and which associated risks must be averted?

 

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Rethinking Rehabilitation

Jun 2018 - THERAPY Magazine

 

The 7th THERA-Trainer Symposium takes place in September 2018! Modern gait rehabilitation is the major theme of this two-day event on neurorehabilitation....

 

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A critical look at geriatric hospital rehabilitation

Jan 2018 - THERAPY Magazine

 

According to recent studies, elderly patients with multiple conditions often do not receive optimal care in hospitals. The number of geriatric patients with multiple clinical patterns in hospitals rose from 1.1 million to 2 million between 2006 and 2015 in Germany alone. Increasing numbers of those affected receive special rehabilitation treatment in clinics, which, due to the complexity of care, seems to be considerably more expensive than normal rehabilitation, but not necessarily more effective.

 

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Back to everyday life, step by step!

Jan 2018 - THERAPY Magazine

 

Since the end of 2015, the Bad Rodach Medical Park has offered its patients a new kind of gait rehabilitation. Now, together with the gait trainer THERA-Trainer e-go, patients at the Bad Rodach Medical Park are going "back to everyday life, step by step".

 

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Come on let’s TWIST again

Jan 2018 - THERAPY Magazine

 

In the first few weeks after stroke, a fairly accurate prediction can be made using the TWIST algorithm to determine whether and how well stroke patients will be able to walk again after six to twelve weeks of rehabilitation. All that’s needed is two simple motor tests, which can be carried out by the therapist at the patient’s bed.

 

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Intensive continuous therapy for paraplegia

Jan 2018 - THERAPY Magazine

 

For some 23 years now, patients with spinal cord injuries have been treated at Centro Giusti, a private institute of physical medicine and rehabilitation in Florence (Italy). The institute follows the "Riabilitazione Intensa e Continuativa" (RIC) approach, a specially developed treatment concept. RIC is intensive continuous therapy. The continuous adaptation of the therapeutic setting and treatment intensity are essential core aspects of the concept. Depending on the performance level, the duration and dose of therapy are progressively increased to achieve continuous improvements. The therapy takes into account the principles of motor learning. Task-oriented training is particularly central in gait therapy. See publication Intensive continuous therapy for paraplegia.

 

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Practice walking by walking!

Jan 2018 - THERAPY Magazine

 

There are 15 million strokes worldwide each year. Some 270,000 of them happen in Germany alone. These figures are expected to double by 2030. Restoring walking ability and associated activities as part of neurological rehabilitation is one of the main concerns in physiotherapy. An important objective is to enable patients to participate actively in society once more.

 

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Putting hybrid gait trainers to the test

Jan 2018 - THERAPY Magazine

 

Based on current evidence, the recovery of walking ability is best practised by walking, and this includes training on the ground. However, training cannot be carried out using a robot-assisted gait trainer. Therefore, in order to enable patients to train walking under conditions that reflect everyday life at an early stage during inpatient rehabilitation, various hybrid systems are trying to establish themselves at the interface with stationary gait training robots. Their manufacturers promise to close the gap between stationary gait training and walking freely on the ground. But have they managed to achieve this?

 

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Training in virtual worlds improves balance ability

Jan 2018 - THERAPY Magazine

 

A short but not less informative article about VR in neurorehabilitation.

 

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University geriatric medicine at Felix Platter Hospital

Jan 2018 - THERAPY Magazine

 

Everyday clinical practice and university research come together at Felix Platter Hospital in Basel, Switzerland, where the latest findings and advances in geriatric medicine are continuously being integrated into diagnostics and therapy. This makes the specialist hospital a showpiece for the structuring of modern geriatric medicine. In addition to rehabilitation, the specialists at the Mobility Center focus primarily on the prevention of age-related mobility restrictions.

 

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Durch Neugestaltung klinischer Behandlungspfade hin zu einem Best-Practice-Modell für moderne Gangrehabilitation

Dec 2017 - Neurologie & Rehabilitation

 

Worauf kommt es für eine erfolgreiche Rehabilitation der Mobilität nach Schlaganfall besonders an? Welche Rehabilitationsmaßnahmen führen nachweislich zu einer Verbesserung von Gleichgewicht, Steh- und Gehfähigkeit? Wo liegen erfolgsträchtige Stärken, und welche Chancen eröffnen sich Rehabilitationseinrichtungen durch mehr Offenheit für Veränderung? Wo liegen gegenwärtig Schwächen und welche Risiken müssen abgewehrt werden?

 

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Redesigning clinical treatment pathways for a best practice model for modern gait training

Dec 2017 - Neurologie & Rehabilitation

 

What factors are particularly important for successful mobility rehabilitation following a stroke? Which rehabilitation measures have been proven to improve balance, standing and walking ability? What are the most likely strengths and what opportunities will there be for rehabilitation facilities by being more open to change? What are the current weaknesses and what risks need to be avoided?

 

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Cyclical leg movement training supports stroke rehabilitation

Jul 2017 - THERAPY Magazine

Besides neurological damage, strokes above all lead to decreased mobility in the victim, which in turn can result in secondary illnesses. As well as the physiotherapy and ergotherapy care given to the patients, the effect of training carried out independently on the everyday motor skills of stroke patients must also be examined.

 

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First Complete Solution for Gait Rehabilitation

Jul 2017 - THERAPY Magazine

 

With a well thought-out, device-based overall concept, a German-Swiss joint venture between THERA-Trainer and Ability Switzerland has in the last year not only managed to transfer current scientific knowledge for recovering walking ability into a best-practice model, but also exploit the previously untapped economic potential of rehabilitation. The Loko Solutions project has been in the process of setting the “gold standard” of modern gait rehabilitation since the start of the year.

 

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From evidence to clinical practice

Jul 2017 - THERAPY Magazine

 

The THERA concept offers extensive expertise to all facilities involved with active rehabilitation and patient care on the basis of the latest evidence. At the heart of the concept are practice-oriented guidelines for action that facilitate goal-oriented use of THERA-Trainer products across all phases of rehabilitation. This is based on the latest scientific findings taking account of all adjoining areas.

 

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How strenuous should it be?

Jul 2017 - THERAPY Magazine

 

After a stroke, self-training with a movement therapy device has been proven to help ensure that treatment is successful. However, therapists are often at a loss when it comes to making recommendations for training management, meaning that patients are often left to work their training out for themselves. The Borg scale, a reliable indicator with which therapists can record and assess the subjective exertion during training, can remedy this.

 

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It’s all about nerves! Neuroplasticity and motor learning

Jul 2017 - THERAPY Magazine

 

The neural plasticity of the brain is the biological basis for successful motor rehabilitation following damage to the nerve system. “Neural plasticity” is any structural and functional adaptation of the brain that can result from changes to the environment and following damage to the brain. Lifelong plastic changes to the brain are possible through behavioural changes, training and learning. Above all, they are based on changes to the strength of connection between nerve cells . In addition, research results in recent years show that depending on the scale and location of the damage, different neural plasticity mechanisms aid the nervous system to compensate for functional breakdowns in an impressive way.

 

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The THERA-Concept Assessment

Jul 2017 - THERAPY Magazine

publication descriptionVarious ability levels based on postural control, ability to stand and ability to walk can be determined with the help of the THERA-concept assessment in combination with the FAC. The ease of implementation is particularly compelling.

 

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Improving care structures through networking

Jul 2017 - THERAPY Magazine

 

For six years, ROLLETS has been providing interesting content in specialist seminars and intensive workshops regarding the complex topic of the provision of medical equipment. Further interesting content and comprehensive knowledge is set to be imparted in over 40 cities in 2017. Thomas Hildenbrand founded ROLLETS with the motivation of providing resources in a goal-oriented and optimised way.

 

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Spielend wieder auf die Beine kommen

Feb 2017 - not

 

Gleichgewichtsstörungen sind häufig die Folge eines Schlaganfalls oder anderer erworbener Hirnschädigungen. Um die Balance wieder zu erreichen, werden häufig spezielle Bewegungstrainer in der modernen Neurorehabilitation eingesetzt. Der Anwenderbericht beschreibt den Einsatz des Hilfsmittels beim Gleichgewichtstraining.

 

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Best Practice! Device based therapy - but how?

Jan 2017 - THERAPY Magazine

 

In this first part of our major “Best Practice” series of articles, learn about the challenges facing evidence-based practice and why there is a need for a practice-oriented concept with a structured treatment guideline.

 

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Changes demand a new view of things

Jan 2017 - THERAPY Magazine

 

More and more people are reliant on rehabilitation. Therapists need to redefine their tasks at the conflict area of science, efficiency and client focus. The courage to embrace change is called for.

 

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Effective balance training in neurorehabilitation

Jan 2017 - THERAPY Magazine

 

Postural control forms the basis of all activities in daily life, and is the main concern in rehabilitation. It is a vital condition for active participation in daily life, and thus an integral part in a person’s independence and mobility.

 

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Evidence - What's the meaning of?

Jan 2017 - THERAPY Magazine

 

Article explaining the meaning of evidence based best practice.

 

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Technology and evidence

Jan 2017 - THERAPY Magazine

 

Technological progress in modern neuro-rehabilitation is opening many possibilities for optimal treatment of neurogenic movement disorders. Find out, where are the chances for better treatment.

 

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Getting back on your feet through play

Jan 2017 - THERAPY Magazine

 

Effective balance training during rehabilitation is highly important for recovering maximum independence and mobility in day-to-day life (see THERAPY issue 1, 2017). Modern software technology enables treatment paths to be structured from the clinic through to the home environment. This means that patients actually learn to get back on their feet through “play”.

 

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Loko Solutions - die erste Komplettlösung für die Gangrehabilitation

Dec 2016 - Neurologie & Rehabilitation

 

Mit einem durchdachten gerätegestützten Gesamtlösungskonzept schaffen es die Erfinder von Loko Solutions nicht nur, aktuelle wissenschaftliche Erkenntnisse zur Wiedererlangung der Gehfähigkeit in ein "Best Practice Model" zu transferieren. Gleichzeitig gelingt es Ihnen bisher ungenutzte Wirtschaftlichkeitspotentiale in der rehabilitation auszuschöpfen. Damit ist das Projekt Loko Solutions seit beginn dieses Jahres auf dem Weg, sich zum "Goldstandard" in der Gangrehabilitation zu entwickeln.

 

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